Autophagy in combination therapy of temozolomide and IFN-γ in C6-induced glioblastoma: role of non-coding RNAs
Abstract
Aim: We predicted the modulation of autophagy and apoptosis in response to temozolomide (TMZ) and IFN-γ based on changes in the expression of non-coding RNAs in C6-induced glioblastoma (GBM). Materials & methods: Each rat received an intraperitoneal injection of TMZ (7.5 mg/kg) and/or IFN-γ (50,000 IU). Results: The reduced expression of H19 and colorectal neoplasia differentially expressed (CRNDE) was associated with a reduction in autophagy in response to TMZ, IFN-γ and TMZ + IFN-γ therapy, whereas the decreased level of miR-29a (proapoptotic miRNA) was associated with an increase in apoptosis. Conclusion: It appears that H19 promotes switching from autophagy to apoptosis in response to combination therapy of TMZ and IFN-γ through the miR-29a/autophagy-related protein 9A (ATG9A) pathway in C6-induced GBM.
Plain language summary
Temozolomide (TMZ) is a drug for people with brain cancer. It can make it hard for patients to learn and think, and it can also make the drug stop working, which lets the tumor keep growing. Researchers are looking for other drugs or things that can be taken with TMZ to stop this from happening. In this study, we used a protein called interferon (IFN), which helps fight cancer. We gave mice with brain cancer both TMZ and IFN, and saw that the tumor cells died and the tumor got smaller. We also looked at how IFN and TMZ changed the genetic material of the mouse brain, called RNA. But we need to test this on people to be sure it works.
Tweetable abstract
TMZ in combination with IFN-γ switched autophagy to apoptosis in C6-induced GBM in rats through H19/miR-29a/ATG9A axis.
Graphical abstract
Papers of special note have been highlighted as: • of interest; •• of considerable interest
References
- 1. The current state of potential therapeutic modalities for glioblastoma multiforme: a clinical review. Curr. Drug Metab. 21(8), 564–578 (2020).
- 2. . Management of glioblastoma: state of the art and future directions. CA Cancer J. Clin. 70(4), 299–312 (2020).
- 3. Targeting the PD-1/PD-L1 pathway in glioblastoma multiforme: preclinical evidence and clinical interventions. Int. Immunopharmacol. 93, 107403 (2021).
- 4. Temozolomide and other alkylating agents in glioblastoma therapy. Biomedicines 7(3), 69 (2019).
- 5. Cognitive functioning in glioblastoma patients during radiotherapy and temozolomide treatment: Initial findings. J. Neurooncol. 97(1), 89–94 (2010).
- 6. . Targeting autophagy to sensitive glioma to temozolomide treatment. J. Exp. Clin. Cancer Res. 35, 1–14 (2016).
- 7. . Friend or foe: paradoxical roles of autophagy in gliomagenesis. Cells 10(6), 1411 (2021). •• This study provides a comprehensive review of autophagy and its dual function in glioblastoma (GBM).
- 8. . Autophagy: renovation of cells and tissues. Cell 147(4), 728–741 (2011).
- 9. . Therapeutic interactions of autophagy with radiation and temozolomide in glioblastoma: evidence and issues to resolve. Br. J. Cancer 114(5), 485–496 (2016).
- 10. . Glioblastoma: targeting the autophagy in tumorigenesis. Brain Res. Bull. 153, 334–340 (2020).
- 11. miR-519a enhances chemosensitivity and promotes autophagy in glioblastoma by targeting STAT3/Bcl2 signaling pathway. J. Hematol. Oncol. 11, 1–16 (2018).
- 12. TRPC5 induced autophagy promotes the TMZ resistance of glioma cells via the CAMMKβ/AMPKα/mTOR pathway. Oncol. Rep. 41(6), 3413–3423 (2019).
- 13. . Combination therapy for gliomas using temozolomide and interferon-beta secreting human bone marrow derived mesenchymal stem cells. J. Korean Neurosurg. Soc. 57(5), 323–328 (2015).
- 14. Recent advances in glioblastoma multiforme therapy: a focus on autophagy regulation. Biomed. Pharmacother. 155, 113740 (2022).
- 15. Combination therapy with interferon-gamma as a potential therapeutic medicine in rat's glioblastoma: a multi-mechanism evaluation. Life Sci. 305, 120744 (2022). •• Presents the first study on the beneficial effects of IFN-γ in neurocognitive functioning and inflammatory responses in rats with C6-induced GBM.
- 16. . Proteome analysis of rat hippocampus following morphine-induced amnesia and state-dependent learning. Iran J. Pharm. Res. 14(2), 591 (2015).
- 17. . Gene regulation by long non-coding RNAs and its biological functions. Nat. Rev. Mol. cell Biol. 22(2), 96–118 (2021).
- 18. . The crosstalk between long non-coding RNAs and the hedgehog signaling pathway in cancer. Med. Oncol. 39(9), 127 (2022).
- 19. . Long non-coding RNAs as potential biomarkers and therapeutic targets for gliomas. Med. Hypotheses 81(2), 319–321 (2013).
- 20. . Coding of glioblastoma progression and therapy resistance through long non-coding RNAs. Cancers (Basel) 12(7), 1842 (2020). • This review discusses the potential that lncRNAs hold for the development of novel diagnostic and, hopefully, therapeutic targets that can contribute to prolonged survival and improved quality of life for patients with glioblastoma.
- 21. . Emerging role of long non-coding RNAs in the pathobiology of glioblastoma. Front. Oncol. 10, 3381 (2021). • This paper discussed the impacts of lncRNAs in the pathogenesis of glioblastoma, their applications as markers and their implications in the therapeutic responses in this kind of cancer.
- 22. Deregulated expression of the imprinted DLK1-DIO3 region in glioblastoma stemlike cells: tumor suppressor role of lncRNA MEG3. Neuro. Oncol. 22(12), 1771–1784 (2020).
- 23. . Expression of long non-coding RNA CRNDE in glioma and its correlation with tumor progression and patient survival. Epilepsia 20(8), 12 (2020).
- 24. . CRNDE: A valuable long non-coding RNA for diagnosis and therapy of solid and hematological malignancies. Mol. Ther. Nucleic Acids 28, 190–201 (2022).
- 25. Knockdown lncRNA CRNDE enhances temozolomide chemosensitivity by regulating autophagy in glioblastoma. Cancer Cell Int. 21(1), 1–15 (2021).
- 26. Expression and prognostic value of long non-coding RNA H19 in glioma via integrated bioinformatics analyses. Aging (Albany NY) 12(4), 3407 (2020).
- 27. Long non-coding RNA H19 regulates glioma cell growth and metastasis via miR-200a-mediated CDK6 and ZEB1 expression. Front. Oncol. 11, 757650 (2021).
- 28. lncRNA H19 promotes glioblastoma multiforme development by activating autophagy by sponging miR-491-5p. Bioengineered 13(5), 11440–11455 (2022).
- 29. . H19 induced by oxidative stress confers temozolomide resistance in human glioma cells via activating NF-κB signaling. Onco Targets Ther. 11, 6395 (2018).
- 30. Hypoxia induces H19 expression through direct and indirect Hif-1α activity, promoting oncogenic effects in glioblastoma. Sci. Rep. 7(1), 45029 (2017).
- 31. . Long non-coding RNA H19 promotes proliferation and invasion in human glioma cells by downregulating miR-152. Oncol. Res. 26(9), 1419 (2018).
- 32. The essential role of long non-coding RNA GAS5 in glioma: interaction with microRNAs, chemosensitivity and potential as a biomarker. J. Cancer 12(1), 224 (2021).
- 33. Long non coding RNA MEG3 contributes to cisplatin induced apoptosis via inhibition of autophagy in human glioma cells. Mol. Med. Rep. 16(3), 2946–2952 (2017).
- 34. . Long non-coding RNA growth arrest-specific 5 facilitates glioma cell sensitivity to cisplatin by suppressing excessive autophagy in an mTOR-dependent manner. J. Cell Biochem. 120(4), 6127–6136 (2019).
- 35. . Neuropathological and genomic characterization of glioblastoma-induced rat model: How similar is it to humans for targeted therapy? J. Cell Physiol. 234(12), 22493–22504 (2019).
- 36. . Rat brain tumor models in experimental neuro-oncology: the 9L, C6, T9, F98, RG2 (D74), RT-2 and CNS-1 gliomas. J. Neurooncol. 36(1), 91–102 (1998).
- 37. . Establishment of C6 brain glioma models through stereotactic technique for laser interstitial thermotherapy research. Surg. Neurol. Int. 6(1), 51–57 (2015).
- 38. Combination treatment with temozolomide and thalidomide inhibits tumor growth and angiogenesis in an orthotopic glioma model. Int. J. Oncol. 28(1), 53–59 (2006).
- 39. . Interferon gamma protects against hepatic tumor growth in rats by increasing kupffer cell tumoricidal activity. Hepatology 24(2), 374–379 (1996).
- 40. Antitumor effects of polysorbate-80 coated gemcitabine polybutylcyanoacrylate nanoparticles in vitro and its pharmacodynamics in vivo on C6 glioma cells of a brain tumor model. Brain Res. 1261, 91–99 (2009).
- 41. . Establishment of a malignant glioma model in rats. The Nerve 2(2), 17–21 (2016). • This study demonstrated successful development of an experimental primary glioma model in rats through C6 glioma cell implantation.
- 42. Perillyl alcohol and quercetin modulate the expression of non-coding RNAs MIAT, H19, miR-29a, and miR-33a in pulmonary artery hypertension in rats. Non-Coding RNA Res. 7(1), 27–33 (2022).
- 43. . Modulation of the expression of long non-coding RNAs H19, GAS5, and MIAT by endurance exercise in the hearts of rats with myocardial infarction. Cardiovasc. Toxicol. 21, 162–168 (2021).
- 44. Perillyle alcohol and Quercetin ameliorate monocrotaline-induced pulmonary artery hypertension in rats through PARP1-mediated miR-204 down-regulation and its downstream pathway. BMC Complement. Med. Ther. 20, 1–12 (2020).
- 45. Curcumin loaded on graphene nanosheets induced cell death in mammospheres from MCF-7 and primary breast tumor cells. Biomed. Mater. 16(4), 45040 (2021).
- 46. . Human microRNA targets. PLoS Biol. 2(11), e363 (2004).
- 47. . Increased circulation mobilization of endothelial progenitor cells in preterm infants with retinopathy of prematurity. J. Cell Biochem. 119(8), 6575–6583 (2018).
- 48. . ECM-dependence of endothelial progenitor cell features. J. Cell Biochem. 117(8), 1934–1946 (2016).
- 49. . Detecting cleaved caspase-3 in apoptotic cells by flow cytometry. Cold Spring Harb. Protoc. 2016(11), 958–962 (2016).
- 50. . Temozolomide in malignant gliomas. Semin. Oncol. W.B. Saunders Ltd, PA, USA, 27–34 (2000).
- 51. A phase II study of temozolomide vs. procarbazine in patients with glioblastoma multiforme at first relapse. Br. J. Cancer 83(5), 588–593 (2000).
- 52. . Role of autophagy in temozolomide-induced cytotoxicity for malignant glioma cells. Cell Death Differ. 11(4), 448–457 (2007).
- 53. . Combination celecoxib and temozolomide in C6 rat glioma orthotopic model. Oncol. Rep. 15(1), 7–13 (2006).
- 54. Anti-cancer therapy with TNFα and IFNγ: a comprehensive review. Cell Prolif. 51(4), e12441 (2018).
- 55. . ROS mediates interferon gamma induced phosphorylation of Src, through the Raf/ERK pathway, in MCF-7 human breast cancer cell line. J. Cell Commun. Signal. 11(1), 57–67 (2017).
- 56. Low CD4+/CD25+/CD127- regulatory T cell-and high IFN-γ levels are associated with improved survival of neuroblastoma patients treated with long-term infusion of ch14. 18/CHO combined with interleukin-2. Oncoimmunology 8(12), 1661194 (2019).
- 57. Application of genetically engineered Salmonella typhimurium for interferon-gamma-induced therapy against melanoma. Eur. J. Cancer 70, 48–61 (2017).
- 58. . Clinical use of interferon-γ. Ann. NY Acad. Sci. 1182, 69 (2009).
- 59. The immunomodulating effect of interferon-γ intravesical instillations in preventing bladder cancer recurrence. Clin. Cancer Res. 9(15), 5550–5558 (2003).
- 60. Strong HLA-DR antigen expression on cancer cells relates to better prognosis of colorectal cancer patients: Possible involvement of c-myc suppression by interferon-γ in situ. Cancer Sci. 97(1), 57–63 (2006).
- 61. Intraperitoneal recombinant interferongamma in ovarian cancer patients with residual disease at second look laparotomy. J. Clin. Oncol. 14(2), 343–350 (1996).
- 62. IFN-γ selectively exerts pro-apoptotic effects on tumor-initiating label-retaining colon cancer cells. Cancer Lett. 336(1), 174–184 (2013).
- 63. . Roles of IFN-γ in tumor progression and regression: a review. Biomark Res. 8, 1–16 (2020).
- 64. microRNA-29a induces aberrant self-renewal capacity in hematopoietic progenitors, biased myeloid development, and acute myeloid leukemia. J. Exp. Med. 207(3), 475–489 (2010).
- 65. MicroRNA-29a activates a multi-component growth and invasion program in glioblastoma. J. Exp. Clin. Cancer Res. 38(1), 1–13 (2019).
- 66. Novel role of miR-29a in pancreatic cancer autophagy and its therapeutic potential. Oncotarget 7(44), 71635 (2016).
- 67. Dynamic and transient interactions of Atg9 with autophagosomes, but not membrane integration, are required for autophagy. Mol. Biol. Cell 23(10), 1860–1873 (2012).
- 68. ATG7 and ATG9A loss-of-function variants trigger autophagy impairment and ovarian failure. Genet Med. 21(4), 930–938 (2019).
- 69. Temozolomide induces autophagy in primary and established glioblastoma cells in an EGFR independent manner. Oncol. Lett. 14(1), 322–328 (2017).
- 70. Autophagy inhibition mediates apoptosis sensitization in cancer therapy by relieving FOXO3a turnover. Dev. Cell 44(5), 555–565 (2018).